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See a sample rate comparisonCPT 23921 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Disarticulation Sho Sec Clsr, Revision Of Scar Or Wound Closure Following Removal Of Arm And Shoulder Blade At Shoulder Joint
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital 24 - Ambulatory Surgical Center 20 - Urgent Care Facility 11 - Office |
| Common Modifiers | None LT - Left side of body 58 - Staged or related procedure during postoperative period RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 23921 |
| Medicaid Fee Schedule | View Medicaid rates for 23921 |
National average reimbursement for CPT 23921 by major payers:
$636.37
$615.37
$632.23
$765.13
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CPT 23921
5 of 25 sample ratesHigher to lower in this preview
Endoscopy Center Of Hackensack, LLC, Hackensack Endoscopy Center
$2,974.00Published rateMedstar Surgery Center At Timonium, LLC
Medstar Surgery Center At Timo
$1,438.00Published rateAdeel Siddiqui
Deaconess Hospital Inc
$814.09Published rateZitelli & Brodland PC, Zitelli & Brodland Asf Central
John A. Zitelli, Md, PC
$711.00Published rateSpecialty Surgery Partners Center Of Florida, LLC, Alliance Specialty Surgical Center
Specialty Surgery Partners Center Of Florida LLC
$452.00Published rate
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See a sample payer proposalCPT 23921 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 23921 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 23921 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 23900-CPT | High | Interthoracoscapular Amputation |
| 23920-CPT | High | Disarticulation Of Shoulder |
| 23921-CPT | Moderate | Disarticulation Sho Sec Clsr, Revision Of Scar Or Wound Closure Following Removal Of Arm And Shoulder Blade At Shoulder Joint |
| 24160-CPT | High | Removal Of Prosthesis Includes Debridement And Synovectomy When Performed; Humeral And Ulnar Components (Revised 01/01/2014) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23921. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23921 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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